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John Jacobson, PTA
NPI 1578702916 · on the registry since 2009
Practice
- Address
- 6722 Highway 50
Lake Geneva, WI 53147 - Phone
- (262) 248-2029
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin